| NPI | 1578933305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE D GUTIERREZ Office Manager/Administrator 212-781-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |